ZipRecruiter

Log In

2

Remote Claim Processor Jobs in California (NOW HIRING)

Gallagher

Senior Resolution Manager

Sacramento, CA · Remote

Location: This role is fully remote work. How you'll make an impact * Apply claims management ... Interact extensively with various parties involved in the claim process to ensure effective ...

Gallagher

Senior Resolution Manager

Sacramento, CA · Remote

Location: This role is fully remote work. How you'll make an impact * Apply claims management ... Interact extensively with various parties involved in the claim process to ensure effective ...

next page

Showing results 1-20

All JobsClaim Processor JobsRemote Claim Processor JobsRemote Claim Processor Jobs in California

Remote Claim Processor information

See California salary details

$11

$18

$26

How much do remote claim processor jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for remote claim processor in California is $18.91, according to ZipRecruiter salary data. Most workers in this role earn between $16.15 and $20.38 per hour, depending on experience, location, and employer.

How can I make 2000 a week working from home?

A remote claim processor can potentially earn $2,000 a week by handling a high volume of claims efficiently, often requiring strong attention to detail and familiarity with claims processing software. Increasing earnings may involve working full-time hours, gaining relevant certifications, and improving productivity skills. Compensation varies based on experience, employer, and workload.

What is the highest paid remote job?

Remote claim processors typically earn between $40,000 and $70,000 annually, but high-level remote roles such as remote executive positions, software engineers, and data scientists tend to have higher salaries, often exceeding $100,000. Specialized skills, certifications, and experience can significantly increase earning potential in remote jobs across various industries.

How to become a claim processor?

To become a remote claim processor, candidates typically need a high school diploma or equivalent, strong attention to detail, and good communication skills. Some employers prefer prior experience in insurance or claims processing, and familiarity with claim management software can be beneficial. Certification is not usually required but can enhance job prospects.

What companies hire remote claims adjusters?

Many insurance companies and third-party claims adjusting firms hire remote claims adjusters, including large organizations like State Farm, Allstate, and Progressive. These companies often require knowledge of insurance policies, claims processing software, and relevant certifications such as the AIC or CPCU. Remote claims adjusters typically work from home and may need to pass background checks and demonstrate strong communication skills.

What is the difference between Remote Claim Processor vs Remote Claims Examiner?

AspectRemote Claim ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma or equivalent; often requires insurance or healthcare-related certifications
Work EnvironmentHome-based, independent work settingHome-based, independent work setting
Industry UsageInsurance, healthcare, government agenciesInsurance, healthcare, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing and adjudicating insurance claims, ensuring compliance

Both roles are remote positions within the insurance and healthcare industries, requiring similar credentials and work environments. The main difference lies in their focus: Remote Claim Processors handle initial claim processing and data entry, while Remote Claims Examiners review and make decisions on claims to ensure accuracy and compliance.

What is a Remote Claim Processor?

A Remote Claim Processor is a professional who reviews, evaluates, and processes insurance claims from a remote location, often from home. They verify the accuracy of submitted information, ensure policy guidelines are met, and decide whether claims should be approved, denied, or require further investigation. This role typically involves working with health, auto, or property insurance claims and requires strong attention to detail, analytical skills, and familiarity with relevant software systems. Working remotely allows claim processors to handle their duties outside of a traditional office environment while maintaining communication with their team and clients through digital platforms.

What are the key skills and qualifications needed to thrive as a Remote Claim Processor, and why are they important?

To thrive as a Remote Claim Processor, you need strong analytical skills, attention to detail, and a background in insurance or healthcare administration, typically supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health record (EHR) systems, and Microsoft Office is crucial for daily tasks. Excellent communication, problem-solving abilities, and self-motivation help remote claim processors efficiently resolve issues and work independently. These skills ensure accurate claims processing, timely resolution, and high customer satisfaction in a remote environment.

What are some common challenges faced by remote claim processors, and how can they be managed effectively?

Remote claim processors often encounter challenges such as maintaining effective communication with team members and staying up-to-date with changing insurance policies and procedures. To manage these challenges, it's important to leverage collaboration tools like instant messaging and video conferencing, and to participate actively in virtual training sessions. Additionally, setting up a dedicated workspace and following a structured daily routine can help ensure productivity and accuracy when processing claims remotely.
What are popular job titles related to Remote Claim Processor jobs in California? For Remote Claim Processor jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Claim Processor jobs in California look for? The top searched job categories for Remote Claim Processor jobs in California are:
What cities in California are hiring for Remote Claim Processor jobs? Cities in California with the most Remote Claim Processor job openings:
Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in California as of July 2026, with employment types broken down into 79% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $39,341 per year, or $18.9 per hour.
Workers Compensation Claim Adjuster

Workers Compensation Claim Adjuster

Kelly Services

Orange, CA • Remote

$52/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 12 days ago

Job description

Finding a job that fits your lifestyle isn't always easy. That's where Kelly comes in. We're seeking a Workers Compensation Claim Adjuster to work at a premier client in Orange, CA (Remote)
Job Title: Workers Compensation Claim Adjuster 
Pay: $52/hr. On W2
Duration: 3+ Months (possible Extension)
Shift: 1st (Monday to Friday)
Schedule: Remote
Job description: 
Primary purpose: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
Essential function and Responsibilities: 
 
  • Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • Negotiates settlement of claims within designated authority.
  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
  • Prepares necessary state fillings within statutory limits.
  • Manages the litigation process; ensures timely and cost-effective claims resolution.
  • Coordinates vendor referrals for additional investigation and/or litigation management.
  • Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
  • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
  • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
  • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
  • Ensures claim files are properly documented and claims coding is correct.
  • Refers cases as appropriate to supervisor and management.

Skills:?????
Qualification: 
 
  • Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
  • Experience: Five (5) years of claims management experience or equivalent combination of education and experience required.

Skills & Knowledge
 
  • Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Good interpersonal skills
  • Excellent negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Service Expectations
  • WORK ENVIRONMENT: When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:
  • Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
  • Physical: Computer keyboarding, travel as required
  • Auditory/Visual: Hearing, vision and talking
Note:
  • Credit security clearance, confirmed via a background credit check, is required for this position.
  • The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

What happens next:
Once you apply, you'll proceed to next steps if your skills and experience look like a good fit. But don't worry-even if this position doesn't work
out, you're still in our network. That means all of our recruiters will have access to your profile, expanding your opportunities even more.
Helping you discover what's next in your career is what we're all about, so let's get to work.
Apply to be a Workers Compensation Claim Adjuster today!
#P3
#CB
 
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

Get a complete career fit with Kelly®.

You’re looking to keep your career moving onward and upward, and we’re here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career.

About Kelly

Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year.
Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Kelly may use AI-powered tools during the recruitment and hiring process. For full details, including how Kelly uses AI, your rights, and how to request a reasonable accommodation, visit the Recruitment Artificial Intelligence Notice.

Apply